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Effects of Internet-Based Support Program on Parenting Outcomes for Primiparous Women: A Pilot Study

Author

Listed:
  • Lingling Huang

    (Health Science Centre, Shenzhen University, Shenzhen 518060, China
    Lingling Huang and Qu Shen contributed equally for this manuscript.)

  • Qu Shen

    (Department of Nursing, School of Medicine, Xiamen University, Xiamen 361102, China
    Lingling Huang and Qu Shen contributed equally for this manuscript.)

  • Qiyu Fang

    (Health Science Centre, Shenzhen University, Shenzhen 518060, China)

  • Xujuan Zheng

    (Health Science Centre, Shenzhen University, Shenzhen 518060, China)

Abstract

(1) Background: Some primiparous women are usually confronted with many parenting problems after childbirth, which can negatively influence the wellbeing of some mothers and infants. Evidence identified that internet interventions can include more tailored information, reach a larger research group, and supply more anonymity than face-to-face traditional interventions. Therefore, the internet-based support program (ISP) was designed to improve the parenting outcomes for Chinese first-time mothers. (2) Methods : A multicenter, single-blinded, pilot randomized controlled trial was conducted. From May to October 2020, a total of 44 participants were recruited in the obstetrical wards of two tertiary hospitals in China. Eighteen women in the control group received routine postnatal care; while eighteen women in the intervention group accessed to the ISP and routine postnatal care. The duration of intervention was not less than three months. Intervention outcomes were assessed through questionnaires before randomization (T0), immediately after intervention (T1), and three months after intervention (T2). The Self-efficacy in Infant Care Scale (SICS), Edinburgh Postnatal Depression Scale (EPDS), and Postpartum Social Support Scale (PSSS) were included to measure MSE, postpartum depression (PPD), and social support, respectively. (3) Results: No significant difference between the two groups were found in terms of the baseline social-demographic characteristics; and the scores of SICS, EPDS and PSSS at T0 ( p > 0.05). Repeated measures multivariate analysis of covariance found that women in the intervention group had a higher MSE score at T1 (6.63, p = 0.007), and T2 (5.75, p = 0.020); a lower EPDS score at T1 (3.11, p = 0.003), and T2 (2.50, p = 0.005); and a higher PSSS score at T1 (4.30, p = 0.001); and no significant difference at T2 (0.35, p = 0.743), compared with women in the control group. (4) Conclusion : The effect of ISP was evaluated to significantly increase primiparous women’s MSE, social support, and to alleviate their PPD symptoms. However, the small sample in pilot study restricted the research results. Therefore, the ISP should be further investigated with a larger, diverse sample to confirm whether it should be adopted as routine postnatal care to support primiparous women on parenting outcomes and mental wellbeing in the early stage of motherhood.

Suggested Citation

  • Lingling Huang & Qu Shen & Qiyu Fang & Xujuan Zheng, 2021. "Effects of Internet-Based Support Program on Parenting Outcomes for Primiparous Women: A Pilot Study," IJERPH, MDPI, vol. 18(9), pages 1-10, April.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:9:p:4402-:d:540264
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    References listed on IDEAS

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    1. Qun Wang & Yao Zhang & Xilin Li & Ziwen Ye & Lingling Huang & Yan Zhang & Xujuan Zheng, 2021. "Exploring Maternal Self-Efficacy of First-Time Mothers among Rural-to-Urban Floating Women: A Quantitative Longitudinal Study in China," IJERPH, MDPI, vol. 18(6), pages 1-12, March.
    2. Kenneth F Schulz & Douglas G Altman & David Moher & for the CONSORT Group, 2010. "CONSORT 2010 Statement: Updated Guidelines for Reporting Parallel Group Randomised Trials," PLOS Medicine, Public Library of Science, vol. 7(3), pages 1-7, March.
    3. Ziyan Li & Mimi Tse & Angel Tang, 2020. "The Effectiveness of a Dyadic Pain Management Program for Community-Dwelling Older Adults with Chronic Pain: A Pilot Randomized Controlled Trial," IJERPH, MDPI, vol. 17(14), pages 1-18, July.
    4. Karen A Whittaker & Sarah Cowley, 2012. "A survey of parental self‐efficacy experiences: maximising potential through health visiting and universal parenting support," Journal of Clinical Nursing, John Wiley & Sons, vol. 21(21-22), pages 3276-3286, November.
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    1. Xilin Li & Yao Zhang & Ziwen Ye & Lingling Huang & Xujuan Zheng, 2021. "Development of a Mobile Application of Internet-Based Support Program on Parenting Outcomes for Primiparous Women," IJERPH, MDPI, vol. 18(14), pages 1-11, July.
    2. Ana Ramos & Filomena Matos & Hélia Soares, 2022. "Parenting Programme Structure, Potential Barriers, and Facilitators: A Scoping Review," IJERPH, MDPI, vol. 19(20), pages 1-13, October.

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